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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... Diagnosis Screening ... EmoryGastroHep #Barretts ... Treatment #Algorithm #Gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... endoscopically suspected esophageal ... (histological diagnosis ... Documentation #EGD #diagnosis ... #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... Columnar Metaplasia/Barrett's ... Prague #Criteria #Barretts ... #Esophagus #diagnosis ... endoscopy #EGD #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Family history of Barrett ... • Stricture • Barrett ... Laryngitis • Asthma ... #management #Gastroenterology
NAACP mnemonic for the major causes of Eosinophilia 
N = Neoplasia (CML, Hodgkins lymphoma) 
A =
A = Allergy / Atopy ... A = Asthma, Addison's ... Differential #Causes #Diagnosis
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... attempting to swallow Esophageal ... Non-Progressive: Esophageal ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Jackhammer Esophagus or Esophageal ... Consider further diagnostics ... Jackhammer #Esophagus #Esophageal ... Spasm #Management #gastroenterology
The infant with tachypnea or wheeze - Clinical Conditions to Consider
 - Bronchiolitis 
 - Pneumonia
infection - Atopic asthma ... history of allergy/atopy ... Other causes #Diagnosis
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... and Diagnosis Asthma ... or family) of atopy ... EricsMedicalLectures/ #Asthma ... COPD #comparison #Diagnosis
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... - Differential Diagnosis ... 4 T's), Goiter Esophageal ... #Differential #Diagnosis ... #causes #gastroenterology